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Research and clinical guidance emphasize adjusting intensity rather than eliminating activity

GLP-1 medications can cause profound appetite suppression an effect that, for someone with restrictive eating, can reinforce dangerous patterns of food restriction, reduce food intake to medically dangerous levels, and provide what feels like medical sanction for not eating

Without testing, there is no way to distinguish between B12 deficiency and other causes of similar symptoms, no way to determine the severity of deficiency, and no way to select the most appropriate delivery method

Without the need for injection training or in-office administration, providers can shift their focus toward higher-value care activitiessuch as metabolic assessments, lifestyle counseling, progress tracking, and long-term outcome monitoring

Timmons JA, Wennmalm K, Larsson O, Walden TB, Lassmann T, Petrovic N, et al

Adenosylcobalamin does participate in fatty acid metabolism through methylmalonyl-CoA mutase